Bireociclib, a novel selective cyclin-dependent kinase 4/6 (CDK4/6) inhibitor, demonstrates significant therapeutic benefits in hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer. As a monotherapy in later-line treatment, it substantially improves objective response rate (ORR), prolongs median progression-free survival (PFS), and extends median overall survival (OS). When combined with fulvestrant as a second-line therapy, it significantly delays disease progression and reduces mortality risk. Currently, marketing authorization applications for Bireociclib monotherapy in breast cancer and its combination with fulvestrant for advanced breast cancer have been submitted to National Medical Products Administration. The phase Ⅲ clinical trial investigating its first-line use in combination with letrozole/anastrozole is nearing completion. This article comprehensively reviews Bireociclib’s molecular structure, pharmacodynamic properties, pharmacokinetic characteristics, etc.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |